Get Grady Epic Remote Login

This guide provides clear and supportive instructions on completing the Grady Epic Remote Login form online. Whether you are a first-time user or someone needing a refresher, these steps will help ensure a smooth process to gain necessary access.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor for completion.
2. Fill in the user information section. Provide your name, job title or department, email address (note that personal emails are not acceptable), and telephone number.
3. Indicate the institution or vendor name and, if you are a non-Grady employee, the last four digits of your Social Security number.
4. Select the appropriate access end date based on your status (Grady employee, non-Grady employee, student/intern, or researcher). Ensure you understand that access may terminate due to employment or position changes.
5. In the access request section, identify your status by selecting all relevant categories (e.g., Grady employee, non-Grady employee, student/intern). Specify what type of access you require to fulfill your job responsibilities.
6. Complete the user purpose section, providing details about your intended use of protected health information (PHI). Include NA where applicable. This section is mandatory for access approval.
7. For research users, provide the title of the study, Institutional Review Board (IRB) number and expiration date, a description of duties, the location of PHI access, and details of any external sources that will share PHI.
8. Ensure you have the necessary signatures: the principal investigator (PI) signature for research purposes and the authorizing director or manager signature for all requests.
9. Review the completed form for any errors or missing information before submission.
10. Submit the completed form to the appropriate office (Office of Information Security or Office of Research Administration) via email or fax as instructed.
11. After submission, await further instructions regarding EPIC training requirements and login credentials.

Make sure to complete your documents online and ensure all fields are accurately filled for a seamless access request.